Phoenix Jackson
Phoenix Jackson is a Marriage & Family Therapist in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 5
Practice location Address checks out
1 Saint Vincents DrSan Rafael, CA 94903-1504
Phone: (415) 610-1768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 91873 (CA) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 91873 (CA) |
| Counselor | Taxonomy 101Y00000X |
| School Counselor | Taxonomy 101YS0200X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 91873 (CA) |
Record details
| NPI number | 1619349933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 26, 2015 |
| Last updated in NPPES | October 25, 2016 |
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